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Deficiency Records for Signature Healthcare of Chapel Hill
A list of the most recent deficiencies for Signature Healthcare of Chapel Hill. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Signature Healthcare of Chapel Hill. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-05-06 | 2024-06-14 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2024-05-06 | 2024-06-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-06 | 2024-06-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-06 | 2024-06-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-06 | 2024-06-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-05-06 | 2024-06-14 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-05-06 | 2024-06-14 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-04-11 | 2024-05-05 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-04-11 | 2024-05-05 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-04-11 | 2024-05-05 | N |
| Provide appropriate foot care. | Health | 2024-04-11 | 2024-05-05 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-04-11 | 2024-05-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-04-11 | 2024-05-05 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-04-11 | 2024-05-05 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-11-03 | 2023-12-01 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-11-03 | 2023-12-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-03 | 2023-12-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-03 | 2023-12-01 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-11-03 | 2023-12-01 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-19 | 2023-05-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-19 | 2023-05-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-19 | 2023-05-22 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-04-19 | 2023-05-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-23 | 2023-04-14 | N |
| Provide activities to meet all resident's needs. | Health | 2023-03-23 | 2023-04-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-23 | 2023-04-14 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-03-23 | 2023-04-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-19 | 2022-09-01 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-08-19 | 2022-09-01 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-06-23 | 2022-08-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-23 | 2022-08-19 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-23 | 2022-08-19 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-03-03 | 2022-03-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-03 | 2022-03-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-07 | 2021-10-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-07 | 2021-10-05 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-09-07 | 2021-10-05 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-09-07 | 2021-10-05 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-09-07 | 2021-10-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-07 | 2021-10-05 | N |
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